Nicole Ivancovich, LMHCA

NPI #1770107377 in Edmonds, Washington

Provider Information

NPI Number: 1770107377
Entity Type: Individual
Name: Nicole Ivancovich, LMHCA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LMHCA
Enumeration Date: May 31, 2020
Last Updated: May 31, 2020

Practice Location

Address: 9523 232ND ST SW
City: Edmonds
State: Washington
ZIP Code: 98020-5028
Phone: (206) 218-9395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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